Organization
THE VILLAGE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVE GELLNER LISW-S (CLINICAL SUPERVISOR)
(740) 526-0204
Entity
Organization
Contact information
Practice address
52 FOURTEENTH STREET, WHEELING, WV 26041
(740) 526-0204
Mailing address
107 PLAZA DRIVE, ST CLAIRSVILLE, OH 43950
(740) 526-0204
(740) 526-0207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AP00940790
WV
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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